Pulsating Blood Vessels in the Nose and Headaches - Neurology

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Pulsating blood vessels in the nasal bridge and headache?


Hello! About three years ago, I started to notice a pronounced pulsation of the blood vessels on the left side of my nasal bridge.
Initially, this was accompanied by a feeling of pressure in the facial area near the nasal bridge, and my cheeks would occasionally twitch.
After some time, the pressure sensation and cheek twitching subsided, but I began to feel the pulsation of the blood vessels in my nasal bridge almost every day (except for a brief period in the morning after a good night's sleep), and the pulsation became more pronounced.
I could even feel vibrations in my jaw with each heartbeat, and the pulsation in the blood vessels at my fingertips was also quite noticeable.
Additionally, I experience a feeling of pressure and pain in my head.
This situation has been very distressing for me, making it difficult to concentrate on other tasks, so I am reaching out for your help.
Thank you!

Niming, 20~29 year old female. Ask Date: 2012/06/05

Dr. Lan Shengxing reply Neurology


Hello, anonymous patient.
The pulsation of the blood vessels can indeed be a bothersome issue.
It may be necessary to have a blood test to determine if it is vasculitis.
Additionally, you might consider consulting an otolaryngologist for further advice.

Reply Date: 2012/06/05

More Info


Hello! It sounds like you are experiencing a complex set of symptoms related to pulsating blood vessels in your nose and associated headaches. The sensation of pulsation in the blood vessels, particularly in the nasal area, can be quite distressing and may be linked to various underlying conditions.

Firstly, the pulsating sensation you feel in the blood vessels of your nose could be attributed to several factors. One common cause is increased blood flow or vascular reactivity in that area, which can occur due to various reasons such as stress, anxiety, or even physical exertion. Additionally, conditions like sinusitis or nasal congestion can lead to increased pressure in the blood vessels, causing a pulsating sensation.

The pressure sensation you initially experienced in your face, along with the occasional twitching of your cheek, may indicate a form of facial nerve irritation or muscle tension. This could be related to tension headaches or even migraines, which are known to cause similar symptoms. Migraines can lead to throbbing pain and may be accompanied by other symptoms such as sensitivity to light, sound, or even nausea.

The fact that you have been experiencing these symptoms for about three years suggests that it may be a chronic issue. Chronic headaches, especially tension-type headaches or migraines, can often be exacerbated by lifestyle factors such as stress, poor posture, lack of sleep, or dehydration. It’s also worth noting that certain dietary factors, such as caffeine or alcohol consumption, can trigger or worsen headaches for some individuals.

Regarding the pulsating sensation in your fingertips and the head, this could be related to heightened awareness of your vascular system, which can occur in states of anxiety or stress. It’s important to consider whether you have experienced any significant stressors or changes in your life that could contribute to these sensations.

In terms of management, there are several strategies you might consider:
1. Lifestyle Modifications: Ensure you are maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adequate hydration. Reducing caffeine and alcohol intake may also help.

2. Stress Management: Techniques such as mindfulness, meditation, or yoga can be beneficial in managing stress and reducing the frequency and intensity of headaches.

3. Posture and Ergonomics: If you spend long hours at a desk or in front of a screen, ensure that your workspace is ergonomically designed to reduce strain on your neck and shoulders, which can contribute to tension headaches.

4. Consultation with a Specialist: Given the persistence of your symptoms, it may be beneficial to consult with a neurologist or an ear, nose, and throat (ENT) specialist. They can conduct a thorough evaluation, including imaging studies if necessary, to rule out any underlying conditions such as vascular malformations or sinus issues.

5. Medication: If your headaches are frequent and debilitating, a healthcare provider may recommend preventive medications or treatments specifically for migraines or tension-type headaches.

6. Physical Therapy: If muscle tension is a contributing factor, physical therapy may help alleviate tightness in the neck and facial muscles.

In conclusion, while the pulsating sensation in your nose and the associated headaches can be distressing, there are various strategies to manage and potentially alleviate your symptoms. It is essential to seek professional medical advice to ensure a proper diagnosis and tailored treatment plan. Your health and well-being are paramount, and addressing these symptoms with a healthcare provider will help you find relief and improve your quality of life. Thank you for reaching out, and I hope you find this information helpful!

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